Individual provider Active NPI

Heidi Nichole Oberst, IDMT, PARAMEDIC

  • Independent Duty Medical Technicians
  • Fort Bragg, NC
National Provider Identifier
1952545477
Registry record updated Apr 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Duty Medical TechniciansTaxonomy code 1710I1003X
Practice address
Malvesti Street BLDG. 3-3046
Jsoc Aid Station
Fort Bragg, NC 28307-0239
Phone
(910) 243-0526
Fax
(910) 243-0161
NPI assigned
Apr 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X P8008207
Independent Duty Medical Technicians 1710I1003X Primary

Addresses

Primary practice location

Malvesti Street BLDG. 3-3046
Jsoc Aid Station
Fort Bragg, NC 28307-0239

Mailing address

PO Box 70239
Command Surgeon
Fort Bragg, NC 28307-0239
Phone (910) 243-0526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240876800000",
    "number": "1952545477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70239",
            "address_2": "COMMAND SURGEON",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283070239",
            "telephone_number": "910-243-0526",
            "fax_number": "910-243-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MALVESTI STREET BLDG. 3-3046",
            "address_2": "JSOC AID STATION",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283070239",
            "telephone_number": "910-243-0526",
            "fax_number": "910-243-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERST",
        "first_name": "HEIDI",
        "middle_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "credential": "IDMT, PARAMEDIC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-28",
        "last_updated": "2009-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": null,
            "license": "P8008207",
            "primary": false
        },
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Bragg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.